Provider Demographics
NPI:1588967590
Name:JABEZ INC
Entity type:Organization
Organization Name:JABEZ INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:TUTTLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:808-456-2300
Mailing Address - Street 1:803 KAMEHAMEHA HWY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-2680
Mailing Address - Country:US
Mailing Address - Phone:808-456-2300
Mailing Address - Fax:808-456-2331
Practice Address - Street 1:803 KAMEHAMEHA HWY
Practice Address - Street 2:SUITE 301
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-2680
Practice Address - Country:US
Practice Address - Phone:808-456-2300
Practice Address - Fax:808-456-2331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC1009111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty